在sigmoid volvulus中发生多重攻击
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Updated: Jul 10, 2026

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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
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Esra Disci1, Rifat Peksoz2, Enes Agirman3
1Esra Disci, MD. Associate Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Pakistan journal of medical sciences
|July 2, 2024
概括
多复合性西格体卷积 (SV) 发作很少见,但与明显更高的复发率和死亡率有关. 选择性手术可以考虑在经历多次SV发作的选定患者中,以防止严重的后果.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 结肠直肠手术 结肠直肠手术
背景情况:
- 西格体卷发症 (SV) 是一种疾病,在这种疾病中,西格体结肠在中腔上扭曲.
- 复发率显著,影响约四分之一的患者.
- 多重发作 (三次或更多发作) 非常罕见,但具有更高的风险.
研究的目的:
- 为了调查多重西格体卷积发作的发生率和特征.
- 为了比较来自单中心系列的研究结果与关于SV复发和多重攻击的全球数据.
- 评估与单个,双重和多重SV发作相关的预后和死亡率.
主要方法:
- 进行了对1071例西格体卷发症病例的回顾性和前性分析.
- 收集的数据包括患者的人口统计数据,以前的攻击史和结果.
- 从科学网数据库中获取了关于西格体卷发的全球数据,用于比较分析.
主要成果:
- 平均SV攻击数量在系列中为1.4,在全球数据中为1.7.
- 多重 (≥2) 和多重 (≥3) 攻击率在该系列中分别为26.1%和4.2%,而全球为26.7%和3.2%.
- 随着发病次数的增加,复发率也随着发病次数的增加而增加 (单发病次数为26.1%,双发病次数为19.3%,多发病次数为51.2%) 以及死亡率 (分别为7.3%,13.7%,19.5%).
结论:
- 多复合性西格卷发作很少发生,但与明显增加的复发率和死亡率有关.
- 这些发现强调了需要仔细考虑选择性复发性或多重性SV患者的手术干预的必要性.
- 积极管理,包括选择性手术,对于减轻重复发作和相关并发症的风险至关重要.
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